In which position should a client be placed for an internal gynecological examination?

The lithotomy position is the correct choice for a client undergoing an internal gynecological examination. In this position, the patient lies on their back with legs raised and supported in stirrups. This positioning allows the healthcare provider to have optimal access to the pelvic region, facilitating a thorough examination of the vagina, cervix, and uterus.

The lithotomy position is specifically designed for gynecological procedures because it provides the best visibility and access while also ensuring that the patient remains comfortable and secure during the examination. It is commonly used in various gynecological procedures, including Pap smears, pelvic exams, and even childbirth.

Other positions such as the supine position, while it allows for some accessibility, does not provide the same level of exposure to the pelvic area as the lithotomy position. The prone position is not suitable for this type of examination as it would obstruct access to the pelvic organs. The left lateral position, although sometimes used in other medical situations, does not offer the necessary access required for gynecological exams. Thus, the lithotomy position is specifically tailored for the examination needs in gynecology and is the preferred method.